Douglas Rene Roth in San Jose - General Practice

Douglas Rene Roth - NPI 1306938246

Douglas Rene Roth is a General Practice in San Jose, California. Douglas Rene Roth practices all healthcare services and medical treatments related to General Practice. The NPI Number for Douglas Rene Roth is 1306938246. The last update date is 2007-07-08.

Douglas Rene Roth's current location address is 1688 Willow St, San Jose, California. You can contact this provider via phone number 4089782060. The mailing address for Douglas Rene Roth is 1688 Willow St, San Jose, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Douglas Rene Roth
Address 1688 Willow St, San Jose, California
Phone Number 4089782060
Fax Number
Sole Proprietor Y
Credentials D.D.S.

NPI Number Detail

NPI Number 1306938246
Provider Enumeration Date 2006-09-29
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 1688 Willow St
City San Jose
State California (CA)
Post Code 951255109
Phone Number 4089782060
Fax Number

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No DG034894
Definition:
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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FAQs about Douglas Rene Roth

What is the unique identification code assigned to Douglas Rene Roth by the Centers for Medicare & Medicaid Services?

The Douglas Rene Roth has been issued the NPI (National Provider Identifier) 1306938246. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical address where Douglas Rene Roth is geographically located?

The Douglas Rene Roth is physically situated at the following location: 1688 Willow St, San Jose, CA, 951255109.

What is Douglas Rene Roth's specialized field of practice, and what is the corresponding taxonomy classification code?

The Douglas Rene Roth's area of specialization is General Practice, and the corresponding taxonomy code that categorizes this field of practice is 1223G0001X.

On what date did the Douglas Rene Roth receive its 1306938246 assignment from the Centers for Medicare & Medicaid Services?

The Douglas Rene Roth was assigned its 1306938246 by the Centers for Medicare & Medicaid Services on 2006-09-29.

When was the information related to Douglas Rene Roth most recently updated or refreshed?

The details pertaining to the Douglas Rene Roth, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.

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